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GRAYDEN BOYD PROVANCE
NPI 1730682410
Peer Specialist in Canton, OH

Active since March 09, 2018
400 TUSCARAWAS ST W, CANTON, OH 44702(330) 438-2400(330) 438-3003 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grayden Boyd Provance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAYDEN BOYD PROVANCE (NPI 1730682410) is an individual peer specialist in Canton, Ohio, licensed in Ohio (00495) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1730682410
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGRAYDEN BOYD PROVANCE
Location Address400 TUSCARAWAS ST WCanton, OH 44702-2044
Mailing Address5982 Rhodes RdKent, OH 44240-8100 · (330) 673-1347 · Fax (330) 678-3677
Phone(330) 438-2400
Fax(330) 438-3003
Sole ProprietorNo
Enumeration DateMarch 9, 2018
✔ NPI 1730682410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · 00495
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
400 TUSCARAWAS ST W, Canton, OH 44702
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA MARIE DRUMMER LISW-S
Social Worker (Clinical)
400 TUSCARAWAS ST W
CANTON, OH 44702
Stark County (330) 438-2400
NICHOLAS FULKS
Social Worker (Clinical)
400 TUSCARAWAS ST W
CANTON, OH 44702
Stark County (330) 438-2400
MR. DENNIS CLETUS TROUP
Case Manager/Care Coordinator
400 TUSCARAWAS ST W
CANTON, OH 44702
Stark County (330) 438-3013
KATHI HERBERGHS BA, CWIC
Case Manager/Care Coordinator
400 TUSCARAWAS ST W
CANTON, OH 44702
Stark County (330) 452-3194
MR. MILES R BALLENTINE
Case Manager/Care Coordinator
400 TUSCARAWAS ST W
CANTON, OH 44702
Stark County (330) 438-2400
LYNSEY YARD LSW
Social Worker
400 TUSCARAWAS ST W
CANTON, OH 44702
Stark County (330) 639-0452
MISS JESSICA GRAM
Case Manager/Care Coordinator
400 TUSCARAWAS ST W
CANTON, OH 44702
Stark County (330) 438-2400
MICHELLE A. ALLISON-SMITH LPCC
Counselor (Professional)
400 TUSCARAWAS ST W, SUITE 200
CANTON, OH 44702
Stark County (330) 438-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grayden Provance's NPI number?

The NPI number for Grayden Provance is 1730682410. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Where is Grayden Provance located?

Grayden Provance practices at 400 Tuscarawas St W, Canton, OH 44702. The listed phone number is (330) 438-2400.

What is Grayden Provance's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Grayden Provance was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.